Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code CPT J3590
Hospital Revenue Code 636
Min. Negotiated Rate $212.50
Max. Negotiated Rate $752.62
Rate for Payer: Blue Shield of California Commercial $630.43
Rate for Payer: Blue Shield of California EPN $453.34
Rate for Payer: Cash Price $398.44
Rate for Payer: Cigna of CA HMO $619.80
Rate for Payer: Cigna of CA PPO $619.80
Rate for Payer: EPIC Health Plan Commercial $354.17
Rate for Payer: EPIC Health Plan Transplant $354.17
Rate for Payer: Galaxy Health WC $752.62
Rate for Payer: Global Benefits Group Commercial $531.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $590.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $337.35
Rate for Payer: LLUH Dept of Risk Management WC $212.50
Rate for Payer: Multiplan Commercial $708.34
Rate for Payer: Networks By Design Commercial $442.72
Rate for Payer: Prime Health Services Commercial $752.62
Rate for Payer: United Healthcare All Other Commercial $334.34
Rate for Payer: United Healthcare All Other HMO $326.55
Rate for Payer: United Healthcare HMO Rider $319.46
Rate for Payer: United Healthcare Select/Navigate/Core $292.19
Service Code CPT J3590
Hospital Revenue Code 636
Min. Negotiated Rate $212.50
Max. Negotiated Rate $752.62
Rate for Payer: Aetna of CA HMO/PPO $580.75
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $752.62
Rate for Payer: Alpha Care Medical Group Medi-Cal $486.99
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $486.99
Rate for Payer: Blue Distinction Transplant $531.26
Rate for Payer: Blue Shield of California Commercial $652.56
Rate for Payer: Blue Shield of California EPN $517.09
Rate for Payer: Cash Price $398.44
Rate for Payer: Cigna of CA HMO $619.80
Rate for Payer: Cigna of CA PPO $619.80
Rate for Payer: Dignity Health Commercial/Exchange $752.62
Rate for Payer: Dignity Health Media $752.62
Rate for Payer: Dignity Health Medi-Cal $752.62
Rate for Payer: EPIC Health Plan Commercial $354.17
Rate for Payer: EPIC Health Plan Transplant $354.17
Rate for Payer: Galaxy Health WC $752.62
Rate for Payer: Global Benefits Group Commercial $531.26
Rate for Payer: Health Plan of Nevada (Sierra) Other $664.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $590.58
Rate for Payer: LLUH Dept of Risk Management WC $212.50
Rate for Payer: Multiplan Commercial $708.34
Rate for Payer: Networks By Design Commercial $442.72
Rate for Payer: Prime Health Services Commercial $752.62
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $531.26
Rate for Payer: TriValley Medical Group Commercial/Senior $531.26
Rate for Payer: United Healthcare All Other Commercial $442.72
Rate for Payer: United Healthcare All Other HMO $442.72
Rate for Payer: United Healthcare HMO Rider $442.72
Rate for Payer: United Healthcare Select/Navigate/Core $442.72
Rate for Payer: Vantage Medical Group Commercial/Exchange $752.62
Rate for Payer: Vantage Medical Group Medi-Cal $752.62
Rate for Payer: Vantage Medical Group Senior $752.62
Service Code NDC 69452-151-20
Hospital Charge Code 1710033
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.37
Rate for Payer: Blue Shield of California Commercial $0.31
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.20
Rate for Payer: Cigna of CA HMO $0.31
Rate for Payer: Cigna of CA PPO $0.31
Rate for Payer: EPIC Health Plan Commercial $0.18
Rate for Payer: Galaxy Health WC $0.37
Rate for Payer: Global Benefits Group Commercial $0.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.17
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Commercial $0.35
Rate for Payer: Networks By Design Commercial $0.29
Rate for Payer: Prime Health Services Commercial $0.37
Service Code NDC 69452-151-20
Hospital Charge Code 1710033
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.37
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.37
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.24
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.24
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.26
Rate for Payer: Blue Distinction Transplant $0.26
Rate for Payer: Blue Shield of California Commercial $0.32
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.20
Rate for Payer: Cigna of CA HMO $0.31
Rate for Payer: Cigna of CA PPO $0.31
Rate for Payer: Dignity Health Commercial/Exchange $0.37
Rate for Payer: Dignity Health Media $0.37
Rate for Payer: Dignity Health Medi-Cal $0.37
Rate for Payer: EPIC Health Plan Commercial $0.18
Rate for Payer: EPIC Health Plan Transplant $0.18
Rate for Payer: Galaxy Health WC $0.37
Rate for Payer: Global Benefits Group Commercial $0.26
Rate for Payer: Health Plan of Nevada (Sierra) Other $0.33
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.17
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Commercial $0.35
Rate for Payer: Networks By Design Commercial $0.29
Rate for Payer: Prime Health Services Commercial $0.37
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.26
Rate for Payer: TriValley Medical Group Commercial/Senior $0.26
Rate for Payer: United Healthcare All Other Commercial $0.22
Rate for Payer: United Healthcare All Other HMO $0.22
Rate for Payer: United Healthcare HMO Rider $0.22
Rate for Payer: United Healthcare Select/Navigate/Core $0.22
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.37
Rate for Payer: Vantage Medical Group Medi-Cal $0.37
Rate for Payer: Vantage Medical Group Senior $0.37
Service Code NDC 3932835760
Hospital Charge Code NDG9943
Hospital Revenue Code 259
Min. Negotiated Rate $0.40
Max. Negotiated Rate $1.41
Rate for Payer: Blue Shield of California Commercial $1.18
Rate for Payer: Blue Shield of California EPN $0.85
Rate for Payer: Cash Price $0.75
Rate for Payer: Cigna of CA HMO $1.16
Rate for Payer: Cigna of CA PPO $1.16
Rate for Payer: EPIC Health Plan Commercial $0.66
Rate for Payer: Galaxy Health WC $1.41
Rate for Payer: Global Benefits Group Commercial $1.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.63
Rate for Payer: LLUH Dept of Risk Management WC $0.40
Rate for Payer: Multiplan Commercial $1.33
Rate for Payer: Networks By Design Commercial $1.08
Rate for Payer: Prime Health Services Commercial $1.41
Service Code NDC 3932835760
Hospital Charge Code NDG9943
Hospital Revenue Code 259
Min. Negotiated Rate $0.40
Max. Negotiated Rate $1.41
Rate for Payer: Aetna of CA HMO/PPO $1.09
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $1.41
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.91
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.91
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.99
Rate for Payer: Blue Distinction Transplant $1.00
Rate for Payer: Blue Shield of California Commercial $1.22
Rate for Payer: Blue Shield of California EPN $0.97
Rate for Payer: Cash Price $0.75
Rate for Payer: Cigna of CA HMO $1.16
Rate for Payer: Cigna of CA PPO $1.16
Rate for Payer: Dignity Health Commercial/Exchange $1.41
Rate for Payer: Dignity Health Media $1.41
Rate for Payer: Dignity Health Medi-Cal $1.41
Rate for Payer: EPIC Health Plan Commercial $0.66
Rate for Payer: EPIC Health Plan Transplant $0.66
Rate for Payer: Galaxy Health WC $1.41
Rate for Payer: Global Benefits Group Commercial $1.00
Rate for Payer: Health Plan of Nevada (Sierra) Other $1.24
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.63
Rate for Payer: LLUH Dept of Risk Management WC $0.40
Rate for Payer: Multiplan Commercial $1.33
Rate for Payer: Networks By Design Commercial $1.08
Rate for Payer: Prime Health Services Commercial $1.41
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.00
Rate for Payer: TriValley Medical Group Commercial/Senior $1.00
Rate for Payer: United Healthcare All Other Commercial $0.83
Rate for Payer: United Healthcare All Other HMO $0.83
Rate for Payer: United Healthcare HMO Rider $0.83
Rate for Payer: United Healthcare Select/Navigate/Core $0.83
Rate for Payer: Vantage Medical Group Commercial/Exchange $1.41
Rate for Payer: Vantage Medical Group Medi-Cal $1.41
Rate for Payer: Vantage Medical Group Senior $1.41
Service Code NDC 0781-5405-01
Hospital Charge Code 1712008
Hospital Revenue Code 259
Min. Negotiated Rate $3.56
Max. Negotiated Rate $12.60
Rate for Payer: Blue Shield of California Commercial $10.55
Rate for Payer: Blue Shield of California EPN $7.59
Rate for Payer: Cash Price $6.67
Rate for Payer: Cigna of CA HMO $10.37
Rate for Payer: Cigna of CA PPO $10.37
Rate for Payer: EPIC Health Plan Commercial $5.93
Rate for Payer: Galaxy Health WC $12.60
Rate for Payer: Global Benefits Group Commercial $8.89
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.65
Rate for Payer: LLUH Dept of Risk Management WC $3.56
Rate for Payer: Multiplan Commercial $11.86
Rate for Payer: Networks By Design Commercial $9.63
Rate for Payer: Prime Health Services Commercial $12.60
Service Code NDC 0781-5405-01
Hospital Charge Code 1712008
Hospital Revenue Code 259
Min. Negotiated Rate $3.56
Max. Negotiated Rate $12.60
Rate for Payer: Aetna of CA HMO/PPO $9.72
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $12.60
Rate for Payer: Alpha Care Medical Group Medi-Cal $8.15
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $8.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8.83
Rate for Payer: Blue Distinction Transplant $8.89
Rate for Payer: Blue Shield of California Commercial $10.92
Rate for Payer: Blue Shield of California EPN $8.65
Rate for Payer: Cash Price $6.67
Rate for Payer: Cigna of CA HMO $10.37
Rate for Payer: Cigna of CA PPO $10.37
Rate for Payer: Dignity Health Commercial/Exchange $12.60
Rate for Payer: Dignity Health Media $12.60
Rate for Payer: Dignity Health Medi-Cal $12.60
Rate for Payer: EPIC Health Plan Commercial $5.93
Rate for Payer: EPIC Health Plan Transplant $5.93
Rate for Payer: Galaxy Health WC $12.60
Rate for Payer: Global Benefits Group Commercial $8.89
Rate for Payer: Health Plan of Nevada (Sierra) Other $11.12
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.65
Rate for Payer: LLUH Dept of Risk Management WC $3.56
Rate for Payer: Multiplan Commercial $11.86
Rate for Payer: Networks By Design Commercial $9.63
Rate for Payer: Prime Health Services Commercial $12.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $8.89
Rate for Payer: TriValley Medical Group Commercial/Senior $8.89
Rate for Payer: United Healthcare All Other Commercial $7.41
Rate for Payer: United Healthcare All Other HMO $7.41
Rate for Payer: United Healthcare HMO Rider $7.41
Rate for Payer: United Healthcare Select/Navigate/Core $7.41
Rate for Payer: Vantage Medical Group Commercial/Exchange $12.60
Rate for Payer: Vantage Medical Group Medi-Cal $12.60
Rate for Payer: Vantage Medical Group Senior $12.60
Service Code CPT J9179
Hospital Charge Code 1755763
Hospital Revenue Code 636
Min. Negotiated Rate $134.02
Max. Negotiated Rate $842.91
Rate for Payer: Aetna of CA HMO/PPO $842.91
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $167.52
Rate for Payer: Alpha Care Medical Group Medi-Cal $147.42
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $147.42
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $186.78
Rate for Payer: Blue Distinction Transplant $492.48
Rate for Payer: Blue Shield of California Commercial $604.93
Rate for Payer: Blue Shield of California EPN $141.60
Rate for Payer: Cash Price $369.36
Rate for Payer: Cash Price $369.36
Rate for Payer: Cigna of CA HMO $574.56
Rate for Payer: Cigna of CA PPO $574.56
Rate for Payer: Dignity Health Commercial/Exchange $201.03
Rate for Payer: Dignity Health Media $134.02
Rate for Payer: Dignity Health Medi-Cal $147.42
Rate for Payer: EPIC Health Plan Commercial $180.92
Rate for Payer: EPIC Health Plan Medicare/Senior $134.02
Rate for Payer: EPIC Health Plan Transplant $134.02
Rate for Payer: Galaxy Health WC $697.68
Rate for Payer: Global Benefits Group Commercial $492.48
Rate for Payer: Health Plan of Nevada (Sierra) Other $615.60
Rate for Payer: Heritage Provider Network Commercial $219.79
Rate for Payer: Heritage Provider Network Transplant $219.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $217.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant $217.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $134.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $547.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $263.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $134.02
Rate for Payer: LLUH Dept of Risk Management WC $196.99
Rate for Payer: Molina Healthcare of CA Medi-Cal $168.86
Rate for Payer: Molina Healthcare of CA Medicare $179.58
Rate for Payer: Multiplan Commercial $656.64
Rate for Payer: Networks By Design Commercial $410.40
Rate for Payer: Prime Health Services Commercial $697.68
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $492.48
Rate for Payer: TriValley Medical Group Commercial/Senior $492.48
Rate for Payer: United Healthcare All Other Commercial $410.40
Rate for Payer: United Healthcare All Other HMO $410.40
Rate for Payer: United Healthcare HMO Rider $410.40
Rate for Payer: United Healthcare Select/Navigate/Core $410.40
Rate for Payer: Vantage Medical Group Commercial/Exchange $201.03
Rate for Payer: Vantage Medical Group Medi-Cal $147.42
Rate for Payer: Vantage Medical Group Senior $134.02
Service Code CPT J9179
Hospital Charge Code 1755763
Hospital Revenue Code 636
Min. Negotiated Rate $196.99
Max. Negotiated Rate $697.68
Rate for Payer: Blue Shield of California Commercial $584.41
Rate for Payer: Blue Shield of California EPN $420.25
Rate for Payer: Cash Price $369.36
Rate for Payer: Cigna of CA HMO $574.56
Rate for Payer: Cigna of CA PPO $574.56
Rate for Payer: EPIC Health Plan Commercial $328.32
Rate for Payer: EPIC Health Plan Transplant $328.32
Rate for Payer: Galaxy Health WC $697.68
Rate for Payer: Global Benefits Group Commercial $492.48
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $547.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $312.72
Rate for Payer: LLUH Dept of Risk Management WC $196.99
Rate for Payer: Multiplan Commercial $656.64
Rate for Payer: Networks By Design Commercial $410.40
Rate for Payer: Prime Health Services Commercial $697.68
Rate for Payer: United Healthcare All Other Commercial $309.93
Rate for Payer: United Healthcare All Other HMO $302.71
Rate for Payer: United Healthcare HMO Rider $296.14
Rate for Payer: United Healthcare Select/Navigate/Core $270.86
Service Code CPT J1335
Hospital Revenue Code 636
Min. Negotiated Rate $33.12
Max. Negotiated Rate $119.41
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $131.23
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $102.00
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $48.45
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $119.41
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $141.58
Rate for Payer: Alpha Care Medical Group Medi-Cal $84.91
Rate for Payer: Alpha Care Medical Group Medi-Cal $31.35
Rate for Payer: Alpha Care Medical Group Medi-Cal $66.00
Rate for Payer: Alpha Care Medical Group Medi-Cal $77.26
Rate for Payer: Alpha Care Medical Group Medi-Cal $91.61
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $84.91
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $31.35
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $77.26
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $66.00
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $91.61
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Blue Distinction Transplant $92.63
Rate for Payer: Blue Distinction Transplant $84.29
Rate for Payer: Blue Distinction Transplant $72.00
Rate for Payer: Blue Distinction Transplant $34.20
Rate for Payer: Blue Distinction Transplant $99.94
Rate for Payer: Blue Shield of California Commercial $42.01
Rate for Payer: Blue Shield of California Commercial $113.79
Rate for Payer: Blue Shield of California Commercial $88.44
Rate for Payer: Blue Shield of California Commercial $122.75
Rate for Payer: Blue Shield of California Commercial $103.53
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Cash Price $69.48
Rate for Payer: Cash Price $63.22
Rate for Payer: Cash Price $63.22
Rate for Payer: Cash Price $54.00
Rate for Payer: Cash Price $54.00
Rate for Payer: Cash Price $25.65
Rate for Payer: Cash Price $25.65
Rate for Payer: Cash Price $74.95
Rate for Payer: Cash Price $74.95
Rate for Payer: Cash Price $69.48
Rate for Payer: Cigna of CA HMO $116.59
Rate for Payer: Cigna of CA HMO $84.00
Rate for Payer: Cigna of CA HMO $98.34
Rate for Payer: Cigna of CA HMO $39.90
Rate for Payer: Cigna of CA HMO $108.07
Rate for Payer: Cigna of CA PPO $98.34
Rate for Payer: Cigna of CA PPO $116.59
Rate for Payer: Cigna of CA PPO $39.90
Rate for Payer: Cigna of CA PPO $84.00
Rate for Payer: Cigna of CA PPO $108.07
Rate for Payer: Dignity Health Commercial/Exchange $119.41
Rate for Payer: Dignity Health Commercial/Exchange $131.23
Rate for Payer: Dignity Health Commercial/Exchange $48.45
Rate for Payer: Dignity Health Commercial/Exchange $141.58
Rate for Payer: Dignity Health Commercial/Exchange $102.00
Rate for Payer: Dignity Health Media $102.00
Rate for Payer: Dignity Health Media $141.58
Rate for Payer: Dignity Health Media $48.45
Rate for Payer: Dignity Health Media $119.41
Rate for Payer: Dignity Health Media $131.23
Rate for Payer: Dignity Health Medi-Cal $131.23
Rate for Payer: Dignity Health Medi-Cal $102.00
Rate for Payer: Dignity Health Medi-Cal $119.41
Rate for Payer: Dignity Health Medi-Cal $48.45
Rate for Payer: Dignity Health Medi-Cal $141.58
Rate for Payer: EPIC Health Plan Commercial $56.19
Rate for Payer: EPIC Health Plan Commercial $61.76
Rate for Payer: EPIC Health Plan Commercial $66.62
Rate for Payer: EPIC Health Plan Commercial $48.00
Rate for Payer: EPIC Health Plan Commercial $22.80
Rate for Payer: EPIC Health Plan Transplant $61.76
Rate for Payer: EPIC Health Plan Transplant $48.00
Rate for Payer: EPIC Health Plan Transplant $56.19
Rate for Payer: EPIC Health Plan Transplant $66.62
Rate for Payer: EPIC Health Plan Transplant $22.80
Rate for Payer: Galaxy Health WC $119.41
Rate for Payer: Galaxy Health WC $48.45
Rate for Payer: Galaxy Health WC $131.23
Rate for Payer: Galaxy Health WC $102.00
Rate for Payer: Galaxy Health WC $141.58
Rate for Payer: Global Benefits Group Commercial $99.94
Rate for Payer: Global Benefits Group Commercial $92.63
Rate for Payer: Global Benefits Group Commercial $34.20
Rate for Payer: Global Benefits Group Commercial $72.00
Rate for Payer: Global Benefits Group Commercial $84.29
Rate for Payer: Health Plan of Nevada (Sierra) Other $124.92
Rate for Payer: Health Plan of Nevada (Sierra) Other $42.75
Rate for Payer: Health Plan of Nevada (Sierra) Other $90.00
Rate for Payer: Health Plan of Nevada (Sierra) Other $115.79
Rate for Payer: Health Plan of Nevada (Sierra) Other $105.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $111.10
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $80.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $93.70
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $38.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $102.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: LLUH Dept of Risk Management WC $39.97
Rate for Payer: LLUH Dept of Risk Management WC $37.05
Rate for Payer: LLUH Dept of Risk Management WC $33.72
Rate for Payer: LLUH Dept of Risk Management WC $13.68
Rate for Payer: LLUH Dept of Risk Management WC $28.80
Rate for Payer: Multiplan Commercial $96.00
Rate for Payer: Multiplan Commercial $123.51
Rate for Payer: Multiplan Commercial $112.38
Rate for Payer: Multiplan Commercial $45.60
Rate for Payer: Multiplan Commercial $133.25
Rate for Payer: Networks By Design Commercial $28.50
Rate for Payer: Networks By Design Commercial $77.20
Rate for Payer: Networks By Design Commercial $83.28
Rate for Payer: Networks By Design Commercial $60.00
Rate for Payer: Networks By Design Commercial $70.24
Rate for Payer: Prime Health Services Commercial $141.58
Rate for Payer: Prime Health Services Commercial $131.23
Rate for Payer: Prime Health Services Commercial $102.00
Rate for Payer: Prime Health Services Commercial $119.41
Rate for Payer: Prime Health Services Commercial $48.45
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $99.94
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $92.63
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $34.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $84.29
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $72.00
Rate for Payer: TriValley Medical Group Commercial/Senior $92.63
Rate for Payer: TriValley Medical Group Commercial/Senior $72.00
Rate for Payer: TriValley Medical Group Commercial/Senior $84.29
Rate for Payer: TriValley Medical Group Commercial/Senior $99.94
Rate for Payer: TriValley Medical Group Commercial/Senior $34.20
Rate for Payer: United Healthcare All Other Commercial $70.24
Rate for Payer: United Healthcare All Other Commercial $28.50
Rate for Payer: United Healthcare All Other Commercial $83.28
Rate for Payer: United Healthcare All Other Commercial $77.20
Rate for Payer: United Healthcare All Other Commercial $60.00
Rate for Payer: United Healthcare All Other HMO $60.00
Rate for Payer: United Healthcare All Other HMO $77.20
Rate for Payer: United Healthcare All Other HMO $70.24
Rate for Payer: United Healthcare All Other HMO $83.28
Rate for Payer: United Healthcare All Other HMO $28.50
Rate for Payer: United Healthcare HMO Rider $60.00
Rate for Payer: United Healthcare HMO Rider $83.28
Rate for Payer: United Healthcare HMO Rider $28.50
Rate for Payer: United Healthcare HMO Rider $77.20
Rate for Payer: United Healthcare HMO Rider $70.24
Rate for Payer: United Healthcare Select/Navigate/Core $70.24
Rate for Payer: United Healthcare Select/Navigate/Core $83.28
Rate for Payer: United Healthcare Select/Navigate/Core $60.00
Rate for Payer: United Healthcare Select/Navigate/Core $77.20
Rate for Payer: United Healthcare Select/Navigate/Core $28.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $131.23
Rate for Payer: Vantage Medical Group Commercial/Exchange $102.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $141.58
Rate for Payer: Vantage Medical Group Commercial/Exchange $48.45
Rate for Payer: Vantage Medical Group Commercial/Exchange $119.41
Rate for Payer: Vantage Medical Group Medi-Cal $48.45
Rate for Payer: Vantage Medical Group Medi-Cal $131.23
Rate for Payer: Vantage Medical Group Medi-Cal $102.00
Rate for Payer: Vantage Medical Group Medi-Cal $141.58
Rate for Payer: Vantage Medical Group Medi-Cal $119.41
Rate for Payer: Vantage Medical Group Senior $48.45
Rate for Payer: Vantage Medical Group Senior $141.58
Rate for Payer: Vantage Medical Group Senior $119.41
Rate for Payer: Vantage Medical Group Senior $131.23
Rate for Payer: Vantage Medical Group Senior $102.00
Service Code CPT J1335
Hospital Revenue Code 636
Min. Negotiated Rate $28.80
Max. Negotiated Rate $102.00
Rate for Payer: Blue Shield of California Commercial $85.44
Rate for Payer: Blue Shield of California Commercial $118.59
Rate for Payer: Blue Shield of California Commercial $40.58
Rate for Payer: Blue Shield of California Commercial $100.02
Rate for Payer: Blue Shield of California Commercial $109.93
Rate for Payer: Blue Shield of California EPN $71.93
Rate for Payer: Blue Shield of California EPN $79.05
Rate for Payer: Blue Shield of California EPN $61.44
Rate for Payer: Blue Shield of California EPN $29.18
Rate for Payer: Blue Shield of California EPN $85.28
Rate for Payer: Cash Price $25.65
Rate for Payer: Cash Price $69.48
Rate for Payer: Cash Price $54.00
Rate for Payer: Cash Price $74.95
Rate for Payer: Cash Price $63.22
Rate for Payer: Cigna of CA HMO $39.90
Rate for Payer: Cigna of CA HMO $98.34
Rate for Payer: Cigna of CA HMO $108.07
Rate for Payer: Cigna of CA HMO $116.59
Rate for Payer: Cigna of CA HMO $84.00
Rate for Payer: Cigna of CA PPO $39.90
Rate for Payer: Cigna of CA PPO $98.34
Rate for Payer: Cigna of CA PPO $108.07
Rate for Payer: Cigna of CA PPO $116.59
Rate for Payer: Cigna of CA PPO $84.00
Rate for Payer: EPIC Health Plan Commercial $66.62
Rate for Payer: EPIC Health Plan Commercial $48.00
Rate for Payer: EPIC Health Plan Commercial $56.19
Rate for Payer: EPIC Health Plan Commercial $61.76
Rate for Payer: EPIC Health Plan Commercial $22.80
Rate for Payer: EPIC Health Plan Transplant $22.80
Rate for Payer: EPIC Health Plan Transplant $66.62
Rate for Payer: EPIC Health Plan Transplant $56.19
Rate for Payer: EPIC Health Plan Transplant $48.00
Rate for Payer: EPIC Health Plan Transplant $61.76
Rate for Payer: Galaxy Health WC $48.45
Rate for Payer: Galaxy Health WC $119.41
Rate for Payer: Galaxy Health WC $141.58
Rate for Payer: Galaxy Health WC $131.23
Rate for Payer: Galaxy Health WC $102.00
Rate for Payer: Global Benefits Group Commercial $34.20
Rate for Payer: Global Benefits Group Commercial $99.94
Rate for Payer: Global Benefits Group Commercial $92.63
Rate for Payer: Global Benefits Group Commercial $84.29
Rate for Payer: Global Benefits Group Commercial $72.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $93.70
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $38.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $80.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $102.98
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $111.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $58.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal $63.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal $45.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal $53.52
Rate for Payer: LLUH Dept of Risk Management WC $39.97
Rate for Payer: LLUH Dept of Risk Management WC $37.05
Rate for Payer: LLUH Dept of Risk Management WC $33.72
Rate for Payer: LLUH Dept of Risk Management WC $28.80
Rate for Payer: LLUH Dept of Risk Management WC $13.68
Rate for Payer: Multiplan Commercial $45.60
Rate for Payer: Multiplan Commercial $123.51
Rate for Payer: Multiplan Commercial $112.38
Rate for Payer: Multiplan Commercial $133.25
Rate for Payer: Multiplan Commercial $96.00
Rate for Payer: Networks By Design Commercial $70.24
Rate for Payer: Networks By Design Commercial $77.20
Rate for Payer: Networks By Design Commercial $60.00
Rate for Payer: Networks By Design Commercial $83.28
Rate for Payer: Networks By Design Commercial $28.50
Rate for Payer: Prime Health Services Commercial $141.58
Rate for Payer: Prime Health Services Commercial $131.23
Rate for Payer: Prime Health Services Commercial $102.00
Rate for Payer: Prime Health Services Commercial $119.41
Rate for Payer: Prime Health Services Commercial $48.45
Rate for Payer: United Healthcare All Other Commercial $58.30
Rate for Payer: United Healthcare All Other Commercial $21.52
Rate for Payer: United Healthcare All Other Commercial $62.89
Rate for Payer: United Healthcare All Other Commercial $45.31
Rate for Payer: United Healthcare All Other Commercial $53.05
Rate for Payer: United Healthcare All Other HMO $51.81
Rate for Payer: United Healthcare All Other HMO $44.26
Rate for Payer: United Healthcare All Other HMO $56.94
Rate for Payer: United Healthcare All Other HMO $61.43
Rate for Payer: United Healthcare All Other HMO $21.02
Rate for Payer: United Healthcare HMO Rider $20.57
Rate for Payer: United Healthcare HMO Rider $60.09
Rate for Payer: United Healthcare HMO Rider $50.69
Rate for Payer: United Healthcare HMO Rider $43.30
Rate for Payer: United Healthcare HMO Rider $55.70
Rate for Payer: United Healthcare Select/Navigate/Core $18.81
Rate for Payer: United Healthcare Select/Navigate/Core $46.36
Rate for Payer: United Healthcare Select/Navigate/Core $54.96
Rate for Payer: United Healthcare Select/Navigate/Core $39.60
Rate for Payer: United Healthcare Select/Navigate/Core $50.95
Service Code CPT J1335
Hospital Charge Code 1755709
Hospital Revenue Code 636
Min. Negotiated Rate $33.12
Max. Negotiated Rate $119.41
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Aetna of CA HMO/PPO $81.51
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $81.60
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $119.41
Rate for Payer: Alpha Care Medical Group Medi-Cal $77.26
Rate for Payer: Alpha Care Medical Group Medi-Cal $52.80
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $52.80
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $77.26
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44.48
Rate for Payer: Blue Distinction Transplant $84.29
Rate for Payer: Blue Distinction Transplant $57.60
Rate for Payer: Blue Shield of California Commercial $103.53
Rate for Payer: Blue Shield of California Commercial $70.75
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Blue Shield of California EPN $70.24
Rate for Payer: Cash Price $43.20
Rate for Payer: Cash Price $43.20
Rate for Payer: Cash Price $63.22
Rate for Payer: Cash Price $63.22
Rate for Payer: Cigna of CA HMO $98.34
Rate for Payer: Cigna of CA HMO $67.20
Rate for Payer: Cigna of CA PPO $98.34
Rate for Payer: Cigna of CA PPO $67.20
Rate for Payer: Dignity Health Commercial/Exchange $81.60
Rate for Payer: Dignity Health Commercial/Exchange $119.41
Rate for Payer: Dignity Health Media $81.60
Rate for Payer: Dignity Health Media $119.41
Rate for Payer: Dignity Health Medi-Cal $119.41
Rate for Payer: Dignity Health Medi-Cal $81.60
Rate for Payer: EPIC Health Plan Commercial $38.40
Rate for Payer: EPIC Health Plan Commercial $56.19
Rate for Payer: EPIC Health Plan Transplant $56.19
Rate for Payer: EPIC Health Plan Transplant $38.40
Rate for Payer: Galaxy Health WC $119.41
Rate for Payer: Galaxy Health WC $81.60
Rate for Payer: Global Benefits Group Commercial $57.60
Rate for Payer: Global Benefits Group Commercial $84.29
Rate for Payer: Health Plan of Nevada (Sierra) Other $72.00
Rate for Payer: Health Plan of Nevada (Sierra) Other $105.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $64.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $93.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $33.12
Rate for Payer: LLUH Dept of Risk Management WC $23.04
Rate for Payer: LLUH Dept of Risk Management WC $33.72
Rate for Payer: Multiplan Commercial $76.80
Rate for Payer: Multiplan Commercial $112.38
Rate for Payer: Networks By Design Commercial $70.24
Rate for Payer: Networks By Design Commercial $48.00
Rate for Payer: Prime Health Services Commercial $81.60
Rate for Payer: Prime Health Services Commercial $119.41
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $57.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $84.29
Rate for Payer: TriValley Medical Group Commercial/Senior $57.60
Rate for Payer: TriValley Medical Group Commercial/Senior $84.29
Rate for Payer: United Healthcare All Other Commercial $70.24
Rate for Payer: United Healthcare All Other Commercial $48.00
Rate for Payer: United Healthcare All Other HMO $48.00
Rate for Payer: United Healthcare All Other HMO $70.24
Rate for Payer: United Healthcare HMO Rider $48.00
Rate for Payer: United Healthcare HMO Rider $70.24
Rate for Payer: United Healthcare Select/Navigate/Core $70.24
Rate for Payer: United Healthcare Select/Navigate/Core $48.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $119.41
Rate for Payer: Vantage Medical Group Commercial/Exchange $81.60
Rate for Payer: Vantage Medical Group Medi-Cal $119.41
Rate for Payer: Vantage Medical Group Medi-Cal $81.60
Rate for Payer: Vantage Medical Group Senior $81.60
Rate for Payer: Vantage Medical Group Senior $119.41
Service Code CPT J1335
Hospital Charge Code 1755709
Hospital Revenue Code 636
Min. Negotiated Rate $33.72
Max. Negotiated Rate $119.41
Rate for Payer: Blue Shield of California Commercial $100.02
Rate for Payer: Blue Shield of California Commercial $68.35
Rate for Payer: Blue Shield of California EPN $71.93
Rate for Payer: Blue Shield of California EPN $49.15
Rate for Payer: Cash Price $63.22
Rate for Payer: Cash Price $43.20
Rate for Payer: Cigna of CA HMO $98.34
Rate for Payer: Cigna of CA HMO $67.20
Rate for Payer: Cigna of CA PPO $67.20
Rate for Payer: Cigna of CA PPO $98.34
Rate for Payer: EPIC Health Plan Commercial $38.40
Rate for Payer: EPIC Health Plan Commercial $56.19
Rate for Payer: EPIC Health Plan Transplant $56.19
Rate for Payer: EPIC Health Plan Transplant $38.40
Rate for Payer: Galaxy Health WC $119.41
Rate for Payer: Galaxy Health WC $81.60
Rate for Payer: Global Benefits Group Commercial $57.60
Rate for Payer: Global Benefits Group Commercial $84.29
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $64.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $93.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal $53.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal $36.58
Rate for Payer: LLUH Dept of Risk Management WC $33.72
Rate for Payer: LLUH Dept of Risk Management WC $23.04
Rate for Payer: Multiplan Commercial $112.38
Rate for Payer: Multiplan Commercial $76.80
Rate for Payer: Networks By Design Commercial $70.24
Rate for Payer: Networks By Design Commercial $48.00
Rate for Payer: Prime Health Services Commercial $119.41
Rate for Payer: Prime Health Services Commercial $81.60
Rate for Payer: United Healthcare All Other Commercial $53.05
Rate for Payer: United Healthcare All Other Commercial $36.25
Rate for Payer: United Healthcare All Other HMO $51.81
Rate for Payer: United Healthcare All Other HMO $35.40
Rate for Payer: United Healthcare HMO Rider $50.69
Rate for Payer: United Healthcare HMO Rider $34.64
Rate for Payer: United Healthcare Select/Navigate/Core $46.36
Rate for Payer: United Healthcare Select/Navigate/Core $31.68
Service Code NDC 75834-242-30
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $1.62
Max. Negotiated Rate $5.74
Rate for Payer: Aetna of CA HMO/PPO $4.43
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.74
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.71
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.71
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4.02
Rate for Payer: Blue Distinction Transplant $4.05
Rate for Payer: Blue Shield of California Commercial $4.97
Rate for Payer: Blue Shield of California EPN $3.94
Rate for Payer: Cash Price $3.04
Rate for Payer: Cigna of CA HMO $4.72
Rate for Payer: Cigna of CA PPO $4.72
Rate for Payer: Dignity Health Commercial/Exchange $5.74
Rate for Payer: Dignity Health Media $5.74
Rate for Payer: Dignity Health Medi-Cal $5.74
Rate for Payer: EPIC Health Plan Commercial $2.70
Rate for Payer: EPIC Health Plan Transplant $2.70
Rate for Payer: Galaxy Health WC $5.74
Rate for Payer: Global Benefits Group Commercial $4.05
Rate for Payer: Health Plan of Nevada (Sierra) Other $5.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.57
Rate for Payer: LLUH Dept of Risk Management WC $1.62
Rate for Payer: Multiplan Commercial $5.40
Rate for Payer: Networks By Design Commercial $4.39
Rate for Payer: Prime Health Services Commercial $5.74
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.05
Rate for Payer: TriValley Medical Group Commercial/Senior $4.05
Rate for Payer: United Healthcare All Other Commercial $3.38
Rate for Payer: United Healthcare All Other HMO $3.38
Rate for Payer: United Healthcare HMO Rider $3.38
Rate for Payer: United Healthcare Select/Navigate/Core $3.38
Rate for Payer: Vantage Medical Group Commercial/Exchange $5.74
Rate for Payer: Vantage Medical Group Medi-Cal $5.74
Rate for Payer: Vantage Medical Group Senior $5.74
Service Code NDC 69238-1484-3
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $3.05
Max. Negotiated Rate $10.80
Rate for Payer: Aetna of CA HMO/PPO $8.33
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $10.80
Rate for Payer: Alpha Care Medical Group Medi-Cal $6.98
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $6.98
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.57
Rate for Payer: Blue Distinction Transplant $7.62
Rate for Payer: Blue Shield of California Commercial $9.36
Rate for Payer: Blue Shield of California EPN $7.42
Rate for Payer: Cash Price $5.72
Rate for Payer: Cigna of CA HMO $8.89
Rate for Payer: Cigna of CA PPO $8.89
Rate for Payer: Dignity Health Commercial/Exchange $10.80
Rate for Payer: Dignity Health Media $10.80
Rate for Payer: Dignity Health Medi-Cal $10.80
Rate for Payer: EPIC Health Plan Commercial $5.08
Rate for Payer: EPIC Health Plan Transplant $5.08
Rate for Payer: Galaxy Health WC $10.80
Rate for Payer: Global Benefits Group Commercial $7.62
Rate for Payer: Health Plan of Nevada (Sierra) Other $9.52
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $8.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4.84
Rate for Payer: LLUH Dept of Risk Management WC $3.05
Rate for Payer: Multiplan Commercial $10.16
Rate for Payer: Networks By Design Commercial $8.26
Rate for Payer: Prime Health Services Commercial $10.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $7.62
Rate for Payer: TriValley Medical Group Commercial/Senior $7.62
Rate for Payer: United Healthcare All Other Commercial $6.35
Rate for Payer: United Healthcare All Other HMO $6.35
Rate for Payer: United Healthcare HMO Rider $6.35
Rate for Payer: United Healthcare Select/Navigate/Core $6.35
Rate for Payer: Vantage Medical Group Commercial/Exchange $10.80
Rate for Payer: Vantage Medical Group Medi-Cal $10.80
Rate for Payer: Vantage Medical Group Senior $10.80
Service Code NDC 24338-102-13
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $3.34
Max. Negotiated Rate $11.84
Rate for Payer: Blue Shield of California Commercial $9.92
Rate for Payer: Blue Shield of California EPN $7.13
Rate for Payer: Cash Price $6.27
Rate for Payer: Cigna of CA HMO $9.75
Rate for Payer: Cigna of CA PPO $9.75
Rate for Payer: EPIC Health Plan Commercial $5.57
Rate for Payer: Galaxy Health WC $11.84
Rate for Payer: Global Benefits Group Commercial $8.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.31
Rate for Payer: LLUH Dept of Risk Management WC $3.34
Rate for Payer: Multiplan Commercial $11.14
Rate for Payer: Networks By Design Commercial $9.05
Rate for Payer: Prime Health Services Commercial $11.84
Service Code NDC 0093-5571-56
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $1.91
Max. Negotiated Rate $6.75
Rate for Payer: Blue Shield of California Commercial $5.65
Rate for Payer: Blue Shield of California EPN $4.07
Rate for Payer: Cash Price $3.57
Rate for Payer: Cigna of CA HMO $5.56
Rate for Payer: Cigna of CA PPO $5.56
Rate for Payer: EPIC Health Plan Commercial $3.18
Rate for Payer: Galaxy Health WC $6.75
Rate for Payer: Global Benefits Group Commercial $4.76
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.03
Rate for Payer: LLUH Dept of Risk Management WC $1.91
Rate for Payer: Multiplan Commercial $6.35
Rate for Payer: Networks By Design Commercial $5.16
Rate for Payer: Prime Health Services Commercial $6.75
Service Code NDC 52536-103-03
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $2.71
Max. Negotiated Rate $9.59
Rate for Payer: Blue Shield of California Commercial $8.03
Rate for Payer: Blue Shield of California EPN $5.78
Rate for Payer: Cash Price $5.08
Rate for Payer: Cigna of CA HMO $7.90
Rate for Payer: Cigna of CA PPO $7.90
Rate for Payer: EPIC Health Plan Commercial $4.51
Rate for Payer: Galaxy Health WC $9.59
Rate for Payer: Global Benefits Group Commercial $6.77
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4.30
Rate for Payer: LLUH Dept of Risk Management WC $2.71
Rate for Payer: Multiplan Commercial $9.02
Rate for Payer: Networks By Design Commercial $7.33
Rate for Payer: Prime Health Services Commercial $9.59
Service Code NDC 52536-103-13
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $2.71
Max. Negotiated Rate $9.59
Rate for Payer: Aetna of CA HMO/PPO $7.40
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $9.59
Rate for Payer: Alpha Care Medical Group Medi-Cal $6.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $6.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $6.72
Rate for Payer: Blue Distinction Transplant $6.77
Rate for Payer: Blue Shield of California Commercial $8.31
Rate for Payer: Blue Shield of California EPN $6.59
Rate for Payer: Cash Price $5.08
Rate for Payer: Cigna of CA HMO $7.90
Rate for Payer: Cigna of CA PPO $7.90
Rate for Payer: Dignity Health Commercial/Exchange $9.59
Rate for Payer: Dignity Health Media $9.59
Rate for Payer: Dignity Health Medi-Cal $9.59
Rate for Payer: EPIC Health Plan Commercial $4.51
Rate for Payer: EPIC Health Plan Transplant $4.51
Rate for Payer: Galaxy Health WC $9.59
Rate for Payer: Global Benefits Group Commercial $6.77
Rate for Payer: Health Plan of Nevada (Sierra) Other $8.46
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4.30
Rate for Payer: LLUH Dept of Risk Management WC $2.71
Rate for Payer: Multiplan Commercial $9.02
Rate for Payer: Networks By Design Commercial $7.33
Rate for Payer: Prime Health Services Commercial $9.59
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $6.77
Rate for Payer: TriValley Medical Group Commercial/Senior $6.77
Rate for Payer: United Healthcare All Other Commercial $5.64
Rate for Payer: United Healthcare All Other HMO $5.64
Rate for Payer: United Healthcare HMO Rider $5.64
Rate for Payer: United Healthcare Select/Navigate/Core $5.64
Rate for Payer: Vantage Medical Group Commercial/Exchange $9.59
Rate for Payer: Vantage Medical Group Medi-Cal $9.59
Rate for Payer: Vantage Medical Group Senior $9.59
Service Code NDC 24338-102-13
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $3.34
Max. Negotiated Rate $11.84
Rate for Payer: Aetna of CA HMO/PPO $9.14
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $11.84
Rate for Payer: Alpha Care Medical Group Medi-Cal $7.66
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $7.66
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8.30
Rate for Payer: Blue Distinction Transplant $8.36
Rate for Payer: Blue Shield of California Commercial $10.27
Rate for Payer: Blue Shield of California EPN $8.14
Rate for Payer: Cash Price $6.27
Rate for Payer: Cigna of CA HMO $9.75
Rate for Payer: Cigna of CA PPO $9.75
Rate for Payer: Dignity Health Commercial/Exchange $11.84
Rate for Payer: Dignity Health Media $11.84
Rate for Payer: Dignity Health Medi-Cal $11.84
Rate for Payer: EPIC Health Plan Commercial $5.57
Rate for Payer: EPIC Health Plan Transplant $5.57
Rate for Payer: Galaxy Health WC $11.84
Rate for Payer: Global Benefits Group Commercial $8.36
Rate for Payer: Health Plan of Nevada (Sierra) Other $10.45
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.31
Rate for Payer: LLUH Dept of Risk Management WC $3.34
Rate for Payer: Multiplan Commercial $11.14
Rate for Payer: Networks By Design Commercial $9.05
Rate for Payer: Prime Health Services Commercial $11.84
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $8.36
Rate for Payer: TriValley Medical Group Commercial/Senior $8.36
Rate for Payer: United Healthcare All Other Commercial $6.96
Rate for Payer: United Healthcare All Other HMO $6.96
Rate for Payer: United Healthcare HMO Rider $6.96
Rate for Payer: United Healthcare Select/Navigate/Core $6.96
Rate for Payer: Vantage Medical Group Commercial/Exchange $11.84
Rate for Payer: Vantage Medical Group Medi-Cal $11.84
Rate for Payer: Vantage Medical Group Senior $11.84
Service Code NDC 69238-1484-3
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $3.05
Max. Negotiated Rate $10.80
Rate for Payer: Blue Shield of California Commercial $9.04
Rate for Payer: Blue Shield of California EPN $6.50
Rate for Payer: Cash Price $5.72
Rate for Payer: Cigna of CA HMO $8.89
Rate for Payer: Cigna of CA PPO $8.89
Rate for Payer: EPIC Health Plan Commercial $5.08
Rate for Payer: Galaxy Health WC $10.80
Rate for Payer: Global Benefits Group Commercial $7.62
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $8.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4.84
Rate for Payer: LLUH Dept of Risk Management WC $3.05
Rate for Payer: Multiplan Commercial $10.16
Rate for Payer: Networks By Design Commercial $8.26
Rate for Payer: Prime Health Services Commercial $10.80
Service Code NDC 75834-242-30
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $1.62
Max. Negotiated Rate $5.74
Rate for Payer: Blue Shield of California Commercial $4.81
Rate for Payer: Blue Shield of California EPN $3.46
Rate for Payer: Cash Price $3.04
Rate for Payer: Cigna of CA HMO $4.72
Rate for Payer: Cigna of CA PPO $4.72
Rate for Payer: EPIC Health Plan Commercial $2.70
Rate for Payer: Galaxy Health WC $5.74
Rate for Payer: Global Benefits Group Commercial $4.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.57
Rate for Payer: LLUH Dept of Risk Management WC $1.62
Rate for Payer: Multiplan Commercial $5.40
Rate for Payer: Networks By Design Commercial $4.39
Rate for Payer: Prime Health Services Commercial $5.74
Service Code NDC 24338-102-03
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $3.34
Max. Negotiated Rate $11.84
Rate for Payer: Blue Shield of California Commercial $9.92
Rate for Payer: Blue Shield of California EPN $7.13
Rate for Payer: Cash Price $6.27
Rate for Payer: Cigna of CA HMO $9.75
Rate for Payer: Cigna of CA PPO $9.75
Rate for Payer: EPIC Health Plan Commercial $5.57
Rate for Payer: Galaxy Health WC $11.84
Rate for Payer: Global Benefits Group Commercial $8.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.31
Rate for Payer: LLUH Dept of Risk Management WC $3.34
Rate for Payer: Multiplan Commercial $11.14
Rate for Payer: Networks By Design Commercial $9.05
Rate for Payer: Prime Health Services Commercial $11.84
Service Code NDC 24338-102-03
Hospital Charge Code 1710431
Hospital Revenue Code 259
Min. Negotiated Rate $3.34
Max. Negotiated Rate $11.84
Rate for Payer: Aetna of CA HMO/PPO $9.14
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $11.84
Rate for Payer: Alpha Care Medical Group Medi-Cal $7.66
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $7.66
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8.30
Rate for Payer: Blue Distinction Transplant $8.36
Rate for Payer: Blue Shield of California Commercial $10.27
Rate for Payer: Blue Shield of California EPN $8.14
Rate for Payer: Cash Price $6.27
Rate for Payer: Cigna of CA HMO $9.75
Rate for Payer: Cigna of CA PPO $9.75
Rate for Payer: Dignity Health Commercial/Exchange $11.84
Rate for Payer: Dignity Health Media $11.84
Rate for Payer: Dignity Health Medi-Cal $11.84
Rate for Payer: EPIC Health Plan Commercial $5.57
Rate for Payer: EPIC Health Plan Transplant $5.57
Rate for Payer: Galaxy Health WC $11.84
Rate for Payer: Global Benefits Group Commercial $8.36
Rate for Payer: Health Plan of Nevada (Sierra) Other $10.45
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.31
Rate for Payer: LLUH Dept of Risk Management WC $3.34
Rate for Payer: Multiplan Commercial $11.14
Rate for Payer: Networks By Design Commercial $9.05
Rate for Payer: Prime Health Services Commercial $11.84
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $8.36
Rate for Payer: TriValley Medical Group Commercial/Senior $8.36
Rate for Payer: United Healthcare All Other Commercial $6.96
Rate for Payer: United Healthcare All Other HMO $6.96
Rate for Payer: United Healthcare HMO Rider $6.96
Rate for Payer: United Healthcare Select/Navigate/Core $6.96
Rate for Payer: Vantage Medical Group Commercial/Exchange $11.84
Rate for Payer: Vantage Medical Group Medi-Cal $11.84
Rate for Payer: Vantage Medical Group Senior $11.84